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New England Life Care jobs

- 45 jobs
  • Intake Educator

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    NELC is rapidly expanding the number of hospitals it serves and is participating with its hospital members in the implementation of several new population health and disease management programs for which care is provided in the home. NELC is seeking talented staff to keep pace with our growth. New England Life Care is hiring a Full Time Intake Educator/Trainer to support our growth. We're looking for some that has experience, enjoys a fast-paced environment, knows how to provide a top-notch customer experience, and someone that's capable of traveling to different branch locations to conduct training for our expanding workforce. If you have passion for training and want to use your experience to educate others, this may be the position you have been looking for! This position is 40 hours per week and has a rotating weekday schedule. The ideal candidate for this position must be able to train onsite in either Woburn, Massachusetts or Canton, Massachusetts. Occasional travel will also be required to Concord, New Hampshire and Portland, Maine. Benefits: Health Insurance Dental Insurance Vision Insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid Time Off And much more! Job Responsibilities Responsible for educating new hires on the roles and responsibilities of the Intake, Insurance Verification and Medical Records Dept. This includes but is not limited to processing new and existing referrals, time commitments, coordination with external depts., verification of insurance, document scanning and attachment to records. Educates new employees on NELC programs, member initiatives and member process flow. Ensures current knowledge of EMR and Referral Management System. Responsible for notifying the Intake Director of any educational deficiencies. Assist the manager with the on boarding of new hires. Responsible for training new employees on department policies and procedures. Responsible for developing a training schedule that includes all areas of Intake/Insurance/MRC. Responsible for Auditing of New Employee's performance as well as randomized audits on all employees within the department on a biannual basis. In conjunction with the hiring manager, develops the corrective action (PDSA) for opportunities identified through auditing. Responsible for assisting in the implementation of process improvement and following through to completion. Coordinates off-site visits with Liaison, field nurse and IRC for all Intake staff as part of Intake on boarding. Develop and maintain all training manuals for Intake and MRC. Assist in obtaining access to hospital EMR's for Intake/Insurance staff and maintain a current list of all staff members and their access. Takes the initiative to meet internal and external customer needs in a timely and courteous manner; maintains a high level of customer satisfaction; follows up on customer complaints/concern as directed by the manager. Collaborate with other Trainers/Auditors in developing skills and creative tools with other trainers within NELC. Works closely and actively participates with assigned committees and initiatives. Schedules meetings, coordinates logistics, prepares timely meeting notes and coordinates follow up. Required Qualifications / Skills Associates Degree in Business Administration or equivalent experience required; Bachelor's Degree in Business Administration preferred. Industry Certificates for job related topics, as well as continued education in training a plus. A minimum of 5 years experience in healthcare provider's business office setting, involved in the registration of patients, verification of Third-Party Insurance benefits helpful. A minimum of 3 years experience working in the role of Intake Coordinator at NELC or equivalent environment. A strong understanding of insurance plans, both government and commercial and medical terminology Working knowledge of Home Infusion Therapy preferred. Preferred Skills: Excellent communications (verbal and written) and interpersonal skills required in order to interpret and explain policies and procedures Demonstrated ability to maintain confidentiality of patient information required. Excellent organizational skills with attention to detail required. Ability to work independently as well as part of a team. Demonstrated ability to identify research and solve problems required. Ability to research and resolve problems independently; detail orientated. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $55k-72k yearly est. Auto-Apply 60d+ ago
  • Patient Accounts Coding Specialist

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA or remote

    New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your experience doesn't support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has an opening for a Patient Accounts Coding Specialist / Biller. This is a full-time, hourly, non-exempt position. The normal working hours will be Monday - Friday from 8:00am until 5:00pm. Although this is a remote position, we are only hiring in the following states: Massachusetts, New Hampshire, and Maine. This person must also be certified in medical billing and coding. Job Summary: The person in this position is responsible for auditing medical records to ensure compliance with the organization's coding procedures and standards. Also reviews insurance payments and denials and recommends billing corrections. Primary Responsibilities: Audit and assign Per Diem codes to ensure PD codes are specific to therapy type. Audit Medicare and Replacement Plan claims and DIF's to ensure that correct claims are transmitted. Maintain, create, and terminate employee web access to all payer websites. In addition, maintaining the access database in SharePoint. Support the Coding Technician as needed in reviewing clinical documentation and entering diagnosis codes, and creating DIFs Support the Coding Technician as needed in communicating with medical providers, patients, and insurance companies to obtain proper clinical documentation Supporting the Coding Technician with assuring patient compliance with payer regulations regarding appropriate clinical documentation and insurance forms Achieve performance appraisals with "meets expectations" or better Demonstrate independence and competence and ability to review and navigate patient accounts and delivery tickets Demonstrate independence and competence and ability to create and accept claims from clearing houses and work claim rejections Demonstrate independence and competence in working daily billing reports Demonstrate independence and competence and ability to teach basic billing knowledge, splitting claims, recognize billing and account errors, work To Do's and send out daily goal emails Demonstrate independence and competence and ability to bill 20 or more clean claims a day Demonstrate independence and competence and ability to bill using the payor sheets Demonstrate independence and competence and ability to teach how to navigate through patient accounts and delivery tickets Maintain an average of 95% or better in claim audits All billing queues reviewed weekly Billing rejections worked daily from queue Educational / Professional Requirements Bachelor's degree preferred or 2 years' experience in coding or medical records. ICD-10 Certification Medical knowledge of the Insurance industry 3 years' experience in healthcare setting processing healthcare provider claims or comparative experience in a healthcare setting required. A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement required. Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred. Working knowledge of Home Infusion Therapy billing & collection preferred. Regulatory Requirements: Knowledge of HIPAA Privacy and Security requirements Working knowledge of federal / state fraud and abuse laws. Required Skills: Demonstrate a developed understanding of medical / insurance industry Excellent customer service skills required. Excellent communications (verbal and written) skills required. Excellent organizational skills required. Ability to work independently as well as part of a team required. Practical experience with microcomputer systems and applications to include Microsoft Word and Excel required. Demonstrated ability to identify, research and solve problems required. "It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.” EOE
    $35k-47k yearly est. Auto-Apply 17d ago
  • Care Manager - Wausau (Work From Home Flexible)

    Lakeland Care 4.1company rating

    Remote or Wausau, WI job

    Join our award winning culture as we serve members in your area! Out of our Wausau office serving members in and around Stevens Point, WI Rapids and Marshfield . The Care Manager (CM), as part of an interdisciplinary team (IDT) with a RN Care Manager (RN CM), serves Lakeland Care's (LCI) members, the frail elderly, adults with physical disabilities, and adults with intellectual/developmental disabilities. The Care Manager provides care management and service coordination to LCI members. The Care Manager arranges for provision of services and supports based on a comprehensive assessment of the member's identified outcomes and needs. The IDT monitors the provision of services based on the member-centered plan per LCI policy and procedures, and Department of Health Services (DHS) contract requirements. Position requires traveling in the field/community visiting members. Responsibilities & Competencies: Coordinate and participate in home visits and care conferences involving the member, their supports, and providers. Collaborate with RNCM to coordinate acute and primary care services, care transitions, and related follow-up care. Conduct in-person comprehensive, strengths-based assessment of the member's outcomes, needs and risks; perform reassessment as condition changes. Develop, coordinate, monitor and evaluate the members' outcome-based member-centered plans, considering cost and effectiveness in authorizing services and choosing providers. Implement risk mitigation strategies to promote the member's health, safety and independence while respecting the member's rights to appeal and grieve. Maintain member records as required by DHS contract and LCI policy. Build and maintain an effective and collaborative working relationship with RNCM partner and various departments/stakeholders. Participate in team meetings and on-going trainings to stay abreast of policies, procedures, and state/federal regulations. Maintain the confidentiality of member information and protected health information (PHI) in accordance with HIPAA and state/federal regulations. Requirements Certified Social Worker in the State of Wisconsin with a minimum of one (1) year experience working with at least one of the family care target populations, OR A four-year bachelor's degree or more advanced degree in Human Services or related field with one (1) year experience working with at least one of the family care target populations, OR A four-year bachelor's degree or more advanced degree in any other area than Human Services with a minimum of three (3) years' experience working with at least one of the family care target populations. Working knowledge of computers, computer programs, typing, and data entry. Ability to access members' homes which are not required to comply with the ADA regulations. Ability to multi-task and work in a fast-paced environment. Ability to lift up to 25lbs. Current driver's license, acceptable driving record and proof of adequate insurance. --------------------------------------------------------------------------------------------------- Lakeland Care is a Wisconsin-based non-profit organization that focuses on creating a world we all want to live in. With long-standing roots as a managed care organization (MCO), we provide long-term care services to eligible elders and individuals with physical and intellectual or developmental disabilities. Currently we serve members in 22 counties and have 11 offices throughout the Central to North East region of Wisconsin. Our Mission Empowering individuals. Strengthening communities. Inspiring futures. Our Vision To create a world we all want to live in. Our Core Values Kindness - We believe kindness is always possible and that no compassionate act is ever wasted. Inclusion - We believe that open hearts and open minds are the only path to a brighter future. Trust - We believe that honesty is still in style and that promises still have power. We are an equal employment opportunity employer functioning under an Affirmative Action Plan. All qualified applicants will receive consideration for employment without regard to race, color, religion, gender, national origin, disability status, protected veteran status or any other characteristic protected by law. We are an organization that participates in E-Verify.
    $35k-42k yearly est. 58d ago
  • Order Processing Technician

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    At NELC we know that employees are looking for opportunities for advancement, flexible schedules, competitive wages, and a company culture that embraces you as a person, not just an employee. Come join our team regardless of your work history or level of experience! The sky is the limit with how far you can go! New England Life Care (NELC) is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, you may be the person we are looking for! New England Life Care currently has openings for Order Processing Technicians in our Woburn , Massachusetts branch . This is a full-time, 40 hour per week position, and the normal schedule is Monday - Friday from 8:30am until 5:00pm. Once fully trained, this person will be incorporated into the weekend and holiday rotations, as well as the on-call schedule. Any weekend and on-call shifts will be paid a shift differential. Benefits: Health Insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Responsibilities: Collaboratively works with pharmacy and nursing to ensure timely delivery of medications and supplies to patients. Communicates expected time of satellite office deliveries to satellite office staff in a timely manner. Participates in scheduled patient rounds requesting and communicating appropriate information as needed. Keeps pharmacy / nursing / delivery staff informed of any new delivery requirements including time restrictions. Initiates purchase orders for supplies and Enteral formula, places orders and has the ability to enter electronic purchase orders in MIS. Oversees receipt of all products into the warehouse, verifying packing slips to the corresponding shipment. and reports any discrepancies to the Materials Manager. Appropriately orders and stocks all supplies necessary to package and ship patient orders, this includes all shipping of IV and enteral. Ensures rotation of enteral products upon receipt of new product. Properly packages patient medication / supply orders to ensure integrity of product during shipment, to include proper labeling of bags and boxes to be delivered by NELC drivers. Picks / packs enteral orders, putting them aside in warehouse to be double checked and loaded into vans or shipped via alternate means. Assists drivers in the coordination of delivery routes and reviews compound/delivery schedule against completed orders on a daily basis to ensure no schedule deliveries are missed. Communicates any delivery time commitments to drivers. Accurately packages, labels, ships and tracks patient orders using U.P.S., U.S.P.S. and courier service when necessary. Demonstrates ability to track packages through the UPS interface. Educational / Professional Requirements: High School diploma or equivalent required. Previous experience in the customer service field preferred. Previous experience in healthcare field preferred. Regulatory Requirements: Valid Driver license in state of employment required. Excellent driving record required. Knowledge of HIPAA Privacy and Security regulations preferred. Skills: Excellent customer service skills required. Proficiency in the English language required. Excellent organizational skills required. Knowledge / experience with microcomputer systems such as Microsoft Office (Word, Excel, Outlook) required. Dependability in attendance and job performance required. EOE
    $36k-54k yearly est. Auto-Apply 22d ago
  • Intake Coordinator

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA or remote

    NELC is one of the fastest growing home infusion therapy services company in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 57 hospital systems in Maine, New Hampshire, Massachusetts, and Vermont. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our member hospitals, NELC provides patient focused care. For more information, visit our website at ******************* New England Life Care currently has a full time, Monday - Friday 8AM - 5PM with weekend rotation, Intake Coordinator position available in our Woburn, MA branch. Training is 100% on site. Partial work from home may be available after fully trained. Summary: The is an entry level position, with responsibility for comprehensive coordination of care for NELC patients receiving home infusion therapy. This position will have a Sr. Intake Coordinator designated as an official mentor. The Intake Coordinator position has a Career Ladder in place. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions: Senior Intake Coordinator - Candidates who meet defined goals, objectives, and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 2-5 years to: Lead Intake Coordinator - Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement. Benefits: Health insurance Career Ladders Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Responsibilities: Accurately compiles the initial Patient Profile for each therapy and distributes it to the appropriate members of the healthcare team for processing. Responsible for answering all incoming phones for Intake Workgroup and ensuring all calls are documented in an email to appropriate staff and documenting in patient file where appropriate. Communicates effectively with pharmacy, reimbursement, materials management and delivery staff regarding new referrals and ongoing patient issues. All communication will be clearly documented in patient file. Works collaboratively with the Liaison/Care Coordination team to ensure efficient discharge. Effectively communicates patient requirements and changes in patient status to appropriate members of infusion and reimbursement teams as well as the internal/external Nursing staff involved in meeting the patient's home health needs. Comprehensively documents all patient related information / conversations in patient's clinical record as updates are presented to Intake staff. Communicates all changes in patient supply requirements to Pharmacy and Patient Service Representative (PSR) for any active patient resuming therapy. Responsible for documenting and processing the requested delivery through SOP S015 - (Time Commitment Process). Responsible for updating any errors in patient file that is presented through daily reports (i.e., updating Referral sources; updating Access, etc...) Follows NELC policies & procedures in the normal conduction of company business. Will develop skills in understanding insurance coverage with the guidance of Senior Intake Coordinator and/or Supervisor. Professional Requirements: Good Communication skills both verbally and written Good organizational skills Good customer service skills Attention to detail Positive, team player a must. Must be able to work holidays on a rotating schedule. Strong computer skills, with working knowledge of Microsoft Office (Word, Excel, Power Point, Outlook) Preferred Experience Knowledge of HIPAA Privacy and Security Regulations 4-5 years healthcare administrative experience Associates degree Medical terminology ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $30k-43k yearly est. Auto-Apply 60d+ ago
  • Business Analyst

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    New England Life Care (NELC) is one of the fastest growing home infusion therapy service companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality and service. Like our member hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive and authentic workplace. If you're energized by this opportunity, we encourage you to apply! You may be just the person we are looking for! New England Life Care currently has a Business Analyst opportunity in our New England branch locations. This position typically works Monday - Friday 8:00am - 5:00pm. This position will allow you to work autonomously, have a predictable schedule, and be able to connect with your coworkers. NELC prides itself on fostering an environment where our employees feel respected, appreciated, supported, and empowered to make decisions. Come join our team and see for yourself! Not eligible for work visa sponsorship at this time. **Only hiring for this remote role in the following states: Maine, Massachusetts, and New Hampshire.** Job Summary: Provides input on NELC projects, extracts data and compiles reports required for management and operations. Provides assistance, advice, and problem solving to staff regarding the use of EMR and Sage for ACS; researches and resolves user errors; participates in testing, training, and implementation of software updates and new features/modules; and acts as a liaison between software vendors and NELC. Benefits: Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Discretionary or Unlimited PTO And much more! Primary Responsibilities: Provide input to management related to NELC projects, including advice on current policies and procedures, healthcare practices and regulations, and data available in NELC systems. Write reports required for management, operations, and projects. Provide application support to users, research and resolve issues. Participate in evaluation and implementation of new features, modules, and systems. Participate in evaluation and implementation of process improvements. Participate as member of the Help Center team by working to research and resolve tickets. Conduct testing, training, and implementation of software updates. Additional Responsibilities: Follows NELC policies and procedures in the normal conduction of company business. Assures that professional practice complies with state and federal regulations including but not limited to the HIPAA Privacy and Security regulations and NELC's Corporate Compliance Program. Ensures that confidentiality of patient information is maintained in accordance with state and HIPAA Privacy and Security regulations. Participates in company Performance Improvement Program via appropriate completion of Occurrence Reports and Customer Complaints and the offering of recommendations for improvements based on trends noted. Effectively communicates both verbally & in writing inside and outside the organization; selects appropriate means of communication; questions to seek clarification and understanding; maintains confidentiality; listens actively to others; conveys appropriate information to others. Takes the initiative to meet internal and external customer needs in a timely and courteous manner; maintains a high level of customer satisfaction; follows up on customer complaints/concerns. Education Requirements: Bachelor's degree in computer science, information systems, information technology or other related discipline and/or equivalent combination of education and relevant experience 3+ years' experience as a business analyst with healthcare background preferred. Proven analytical and creative problem-solving abilities Experience writing MSSQL queries and writing end user reports using SAP Crystal Reports or equivalent report writing application. Regulatory Requirements: Knowledge of HIPAA Privacy and Security requirements. Working knowledge of federal / state fraud and abuse laws required. Valid driver's license with excellent driving record required. Additional Skills: Experience with report writing and research tools, including Crystal Reports, SQL Management Studio, MS Access. Demonstrated knowledge of medical terminology; CPT; ICD9; and HCPC coding preferred. Excellent customer service, communication, and organizational skills required. Ability to work independently as well as part of a team required. Practical experience with business office applications to include Microsoft Word and Excel required. Demonstrated ability to identify research and solve problems required. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE This position typically works Monday - Friday 8:00am - 5:00pm.
    $73k-96k yearly est. Auto-Apply 60d+ ago
  • Authorization Specialist

    New England Life Care 3.8company rating

    New England Life Care job in Concord, NH or remote

    Job Description New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your experience doesn't support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has a Remote Authorization Specialist position available. The normal schedule is Monday - Friday from 8:30am to 5:00pm. The ideal candidate for this role will have at least three years of authorization or billing experience. **Only hiring for this remote role in the following states: Maine, Massachusetts, New Hampshire, Maryland, North Carolina, Connecticut, and Florida** Job Summary: The Remote Authorization Specialist is responsible for obtaining and maintaining prior authorization status for NELC patient medications/therapies. The authorization specialist works closely with the clinical review department to obtain documentation needed to complete the authorization process. The authorization specialist also obtains needed documentation to support the billing department in meeting payer requirements for patient accounts. Career Ladders: NELC's reimbursement department offers career ladders to Authorization Specialists. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions: Authorization Specialist- represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to: Senior Authorization Specialist - Candidates who meet defined goals, objectives, and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to: Lead Authorization Specialist - Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement. Benefits: Remote position Room for growth and potential for advancement Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Responsibilities: Achieve performance appraisals with "meets expectations" or better Maintain a good record of attendance and punctuality No Performance management deficiencies in the period Demonstrate independence and competence to follow Authorization Request process for all payers. Demonstrate independence and competence to follow the Re-Authorization process Demonstrate independence and competence to follow the Specialty process Demonstrate independence and competence on all MOA's and therapies Demonstrate independence and competence and ability to Authorize all services, document and communicate accurately on all changes of service, in CPR+ and to appropriate departments. Demonstrate independence and competence and ability to work through a TO DO without the need for extended timeframes. Demonstrates the ability to work within a team and independently with confident communication skills and exceptional customer service skills. Completes three continuing education programs in the period specifically related to professional development, LEAN and/or leadership development. Education: High School Diploma, or equivalent required. Minimum of 2 years authorization, reimbursement or claims processing experience required. Practical experience with medical terminology; CPT, ICD-9 and HCPC coding preferred. Practical experience with Medicare, Medicaid and third-party payor contracts preferred Knowledge of HIPAA Privacy and Security requirements preferred. Skills: Excellent organizational skills required. Basic accounting transaction/analyst skills required. Demonstrated ability to identify research and solve problems required. Ability to work independently as well as part of a team required. Practical experience with Microsoft computer systems and applications, to include Word & Excel ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Monday - Friday from 8:30am to 5:00pm
    $39k-46k yearly est. 18d ago
  • Business Development Specialist

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has an opening for a Business Development Specialist. This position has similar responsibilities as an account manager for our member hospitals at Brigham and Women's Hospital, Beth Israel Deaconess Medical Center, and Mount Auburn Hospital. The primary responsibility is to establish relationships internally to develop a strong account management relationship with our Nursing, CCRC, and Intake Teams, and externally to understand the current needs of the member hospitals, anticipate future needs, and identify opportunities for growth. Although responsible for hospitals south of Boston, this position is based out of Woburn, MA. This is a full-time, salaried, exempt position. The normal working hours will be Monday through Friday from 8:00am until 5:00pm. Job Summary: The person in this position is responsible for facilitating the achievement of the company's financial and partnership development goals for their defined territory through the positive promotion of NELC's programs and services to member clinicians & case management personnel. Benefits: Commission Program Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Discretionary/Unlimited PTO And much more! Primary Responsibilities: Grows accounts and territory to meet or exceed quarterly and annual performance goals. Ensures the effective promotion of company products and services to all referral sources including but not limited to physicians, member hospital clinical staff, hospital & payer case managers and home health agencies in assigned area of responsibility. In conjunction with PD Leadership develop annually, a member specific plan to network/consult/promote the services of NELC throughout the institution to ensure the member remains a member in good standing by either meeting the test of being fully engaged and maintain a positive contribution to NELC's financial performance. Reviews monthly performance results with the Director of Case Management and other appropriate hospital department heads to ensure member engagement and participation in meeting by-law requirements for a member in good standing, on-going program development, planning or corrective actions. Works with supervisor to identify quarterly performance goals in support of member(s) specific master plan and meets or exceeds identified goals. Participates in or secures a seat for another NELC team member to participate in at least one hospital committee at each of their assigned member hospitals. Develops at least one non-direct marketing opportunity at each assigned member institution. (Newsletter, case study, participation in a member's team building activity) by end of calendar year. Works with NELC leadership to identify & develop new business/service opportunities at assigned member hospital(s). Works with the DON or Clinical Liaison Director to identify and develop quarterly account specific goals for the assigned clinical liaison(s) Work closely with other members of the Partnership Development team to support the development and execution of a system wide development plan. Provides timely feedback to referral sources on patient satisfaction, problem resolution or superior customer service by an NELC team member. Provides regular feedback to senior management on partnership development activities, successes, failures, and opportunities. Ensures continued satisfaction of member hospitals, their clinical team(s), payers, physicians, and home health agencies via ongoing regular communication. Works closely with the Directors of Nursing or Director of Clinical Liaisons to develop a cohesive team between partnership development and clinical liaisons. Assists in the orienting and training of clinical liaisons. Provides timely updates to all dashboards and member profiles. Educational / Professional Requirements: Bachelor's Degree or equivalent experience required. Minimum five (5) years of health product sales experience and /or home infusion therapy sales experience required. Management experience required. Regulatory Requirements: Knowledge of federal and state fraud and abuse laws required. Knowledge of HIPAA Privacy and Security Regulations preferred. Valid Driver's license required. Excellent driving record required. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Monday through Friday from 8:00am until 5:00pm
    $57k-78k yearly est. Auto-Apply 60d+ ago
  • Nursing Field Supervisor

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    NELC is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, we encourage you to apply! New England Life Care currently has an opening for a Nursing Field Supervisor . Although this role is largely remote and/or traveling, it is based out of our Woburn, MA branch. This is a 40 hour, 8AM - 5PM, Monday - Friday Supervisory Position. As with all supervisory roles, weekend and holiday rotations are as needed. Benefits: Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Discretionary/Unlimited PTO And much more! Primary Responsibilities: Guarantees that all nursing services are provided in a professional, safe and cost-effective manner ensuring a high level of customer satisfaction Effectively communicates and collaborates, verbally and in writing, in a timely manner, with all departments as required or necessary. Exudes and promotes a high level of trust, honesty, and integrity with all levels of the organization. Comprehensively documents all patient assessments, communication with patients, caregivers, and other members of the healthcare team in patient's electronic medical record at the time of care delivery. Inserts, maintains, troubleshoots, and discontinues (as appropriate) all types of infusion access according to NELC policies and procedures. Demonstrates and maintains competency in the use and troubleshooting of related vascular access devices, infusion equipment and supplies. Participates in Administrative On-Call rotation for Nursing department. Oversees Territory Management for staff and provides ongoing evaluation and adjustment of territories to meet the needs of the individual caseload and patient territories to enhance overall productivity and efficiency. Provides appropriate guidance and supervision of nursing staff in the delivery of pt care accordance to NELC Policy and Procedures, SOP's and best practice Demonstrates competency in all therapy types provided by NELC Participates in field evaluations and annual competencies for nursing staff Works in conjunction with the Nurse Educator to communicate new programs, practices, therapies and overall staff education to clinical practice and infusion nursing with the support of NELC Nurse Educator Actively participates and provides leadership to staff in performing and maintaining positive relationships and fostering a team atmosphere Conducts regular scheduled staff meetings, huddles and individual meetings with staff to communicate company updates, dept updates and overall continued communication to staff Ensures departmental compliance with all NELC policies and procedures, federal, state and JCAHO regulations/standards. Ensures compliance with all company and regulatory documentation requirements with includes but not limited to comprehensive clinical documentation, clinical and home health licensure documentation, timely physician order documentation, performance improvement activity documentation, and human resources records documentation Oversees and when necessary, participates in coordination and administration of patient care. Participates in interviewing potential NELC staff members following EEOC guidelines. Evaluates and supports the development of new staff members Educational / Professional Requirements: Proficient with Microsoft Office suite including: Outlook, Word, Excel, and Teams Minimum of two (2) years acute care, vascular access, home infusion experience. Previous home health nursing, home infusion and vascular access experience preferred. Regulatory Requirements: Active Registered nurse licensure in all states serviced by the assigned regional team Current BLS Certification required. Valid driver's license with acceptable driving record required. Willingness to learn or working knowledge of the OSHA, CDC, state and federal regulations Willingness to learn or working knowledge of HIPAA Privacy and Security Regulations Willingness to learn or working knowledge of the Joint Commission accreditation process and standards ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $56k-75k yearly est. Auto-Apply 34d ago
  • Logistics & Facilities Manager

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    Job Description New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your experience doesn't support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has a Logistics & Facilities Manager opening in Woburn, Massachusetts. This is a salaried, exempt position. The ideal candidates for this position has excellent interpersonal skills, communicates in a way that elicits the best performance from their employees, and knows how to empower their employees to work independently. Summary: The person in this position is responsible for facility management, warehouse operations, receiving and inventory control, asset management, patient delivery logistics, and patient order processing management. Benefits: Health Insurance Dental Insurance Vision Insurance Generous employer-matched 403(b) savings program Company paid: Life insurance, Short- and long-term disability insurance Discretionary / Unlimited Paid time off And much more! Primary Responsibilities: Ensures departmental compliance with all NELC policies and procedures, federal, state and Joint Commission regulations/standards. Ensures compliance with all company and regulatory documentation requirements which includes but is not limited to comprehensive documentation of drug and equipment procurement, performance improvement activity documentation, and human resources records documentation. Effectively collaborates with clinical team members in the evaluation of the appropriateness of therapy for patients referred to NELC encouraging materials staff to share any observations / concerns related to the patient's home therapy requirements. Guarantees that all patient delivery services are provided in a professional, safe, and cost-effective manner ensuring a high level of customer satisfaction. Provides appropriate guidance and supervision of operations and materials staff in the management of supply, drug and equipment inventory and the timely delivery of products to patients. Ensures department is appropriately staffed to fulfill role in NELC service program. Oversees and when necessary, participates in coordination and delivery of patient products / equipment. Ensures adequate levels of drugs, supplies and equipment are always available. Ensures that all patient equipment is maintained according to manufacturer's guidelines. Completes appropriate follow-up to ensure timely receipt of product. Ensures that all invoices are reviewed for accuracy, coded appropriately, and submitted to Accounts Payable in a timely manner for payment. Participates in the Product Selection and acts as a resource in the review and selection of new products / equipment through the utilization of appropriate resources. Works with the Director of Regional Operations and Materials in the establishment of vendor contracts for equipment procurement and the acquisition of capital equipment as required. Assures the proper handling and crediting of returned goods. Ensures that the branch facility is always properly maintained within required regulatory guidelines. Ensures that all company vehicles are maintained according to manufacturer's guidelines. Requirements: Associate Degree in Business Administration or equivalent experience required. Two years management/supervisory experience preferred. One year minimum purchasing experience in healthcare setting preferred. Knowledge of HIPAA Privacy and Security regulations. Knowledge of the Joint Commission, federal and state regulations that impact department preferred. Valid driver's license required. Excellent driving record required Certification/Licensure as Pharmacy Technician as required by state specific Board of Pharmacy regulations. Preferred Skills Demonstrated leadership skills required. Excellent interpersonal skills required. Excellent organizational skills required. Ability to define problems, collect / analyze data, establish facts and draw valid conclusions required. Ability to communicate effectively with all customers and at all levels of the NELC organization verbally and in writing required. Ability to work independently as well as being a part of a team required. Ability to participate in On Call rotation for Materials Management and administration. Dependability in attendance and job performance required. Working / practical knowledge of microcomputer systems including patient documentation and supply inventory systems, and Microsoft Office (Word, Excel, Outlook). Ability to read, write and speak English fluently required. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $73k-101k yearly est. 8d ago
  • Clinical Review Specialist

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    Job Description New England Life Care (NELC) is one of the fastest growing home infusion therapy companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your experience doesn't support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! New England Life Care currently has a Remote Clinical Review Specialist opportunity available. This is a remote position with an ideal Monday - Friday from 8:30am until 5:00pm schedule. The ideal candidate for this position will excel in a fast-paced environment, have excellent communication and deductive reasoning skills. **We are only hiring remote employees for this position that live in Maine, Massachusetts, and New Hampshire.** Summary: The Clinical Review Specialist will conduct regular utilization management reviews and provide clinical information as required in order to confirm coverage for each patient. Benefits: Career Ladder Health insurance Dental insurance Vision insurance Generous employer-matched 403(b) savings program Company paid: Life insurance, Short- and long-term disability insurance Paid Time Off And much more! Primary Responsibilities: Apply clinical skills and expertise in conjunction with established medical criteria, members' eligibility and benefit coverage information, in the review of therapy checklists & specialist drug authorization forms, to ensure high-quality, cost-effective care Maintain a thorough and comprehensive understanding of regulations, payer contracts, product lines, NELC policies & procedures. Serves as subject matter expert on complex specialty drugs clinical requirements. Review clinical documentation for long term government payers to ensure they still meet clinical coverage twice a year. Consulting with the Medical Director for all potential denials that do not meet medical necessity or NELC criteria. The decision for a medically necessary denial is within the Medical Director role Act as a liaison between internal and external customers to resolve systems/process issues and ensure we are obtaining signed physician orders from participating MDs for government payers. Determine appropriateness and effectiveness of services requested using established medical coverage criteria, guidelines and departmental policies and procedures Contact appropriate physicians and medical facilities to obtain complete detailed written orders timely to complete Medicare DIFs and authorizations Responsible for timely and comprehensive medical review with concise documentation of pertinent facts, decisions and rationale and facilitation of resolution to requests of “urgently needed, not yet rendered services” in compliance with state regulation. Effectively and accurately communicate coverage decisions to members, providers, and medical groups, following timelines established by regulations and accreditation standards. Identify and appropriately inform Manager/Supervisor of sensitive or complex cases Maintains a thorough and comprehensive understanding of state and federal regulations, accreditation standards and payer contracts to ensure compliance. Develop and maintain positive, effective working relationships with Medical Directors, physicians, vendors, managed care offices and other customers Maintain confidentiality of member and case information by following Corporate Privacy policies pertaining to protection of member PHI Perform other duties as assigned Requirements: Associate of Arts degree or clinical certification/licensure required Healthcare experience in a medical setting required Prior experience in care coordination, home health or home infusion desired Experience in managed care environment Experience in working with established criteria to determine medical necessity and appropriateness of care Experience in utilization review, utilization management, quality review Working knowledge of federal / state fraud and abuse laws required. Knowledge of HIPAA Privacy and Security Regulations preferred. Skills: Dependability in attendance and job performance required Excellent verbal and written communication and interpersonal skills Excellent problem identification and solving skills Ability to organize and prioritize multiple assignments within workload Ability to function independently and take independent action, within scope of job responsibilities Competency in computer skills including Microsoft work, outlook and internet ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Monday - Friday from 8:30am until 5:00pm
    $75k-114k yearly est. 30d ago
  • A/R Specialist

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    Job Description New England Life Care (NELC) is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your past experience doesn't support every qualification in the job posting, we encourage you to apply! You still may be the person we are looking for! The Accounts Receivable Specialist is a REMOTE POSTION and is responsible for the follow-up, collections, and recovery of problematic accounts due from health insurance payers. The normal schedule will be Monday - Friday from 8:00am until 4:30pm. Career Ladders: NELC's auditing department offers career ladders to auditors. Candidates who achieve excellent performance in their job duties, who demonstrate a commitment to personal development, participation in department and company strategic programs and projects, who develop superior working relationships inside and outside the department and who show a commitment to the success of the department are eligible for promotion to the following positions: Accounts Receivable Specialist - represents an entry level position into the department. Candidates who meet defined goals, objectives and accomplishments can generally expect to be promoted in 2-3 years to: Senior Accounts Receivable Specialist - Candidates who meet defined goals, objectives and accomplishments and who demonstrate engagement and ownership of departmental and organization activities would generally expect to be promoted in 4-5 years to: Lead Accounts Receivable Specialist - Candidates who are part of the department leadership team and who have responsibility for advanced departmental, company and member hospital engagement. **Only hiring remotely in the following states: Connecticut, Florida, Maine, Massachusetts, Maryland, New Hampshire, North Carolina, Ohio, Rhode Island, Texas, and Vermont** Benefits: Remote / Hybrid Position Career Ladders Health Insurance Career ladders and opportunities for advancement Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Responsibilities: Achieve performance appraisals with "meets expectations" or better Demonstrate independence and competence to work basic denials Demonstrate independence and competence in payer requirements for basic appeals Demonstrate independence and competence and ability in submitting correct claims for payers Demonstrate independence and competence in refund processing Demonstrate independence and competence and ability to teach how to check claim status via phone or website Demonstrate ability to complete on average 20 accounts per day Demonstrate ability to work accounts timely within 2 weeks of receiving denial or needing follow up Maintain audit percentage of 98% Follows NELC policies and procedures in the normal conduction of company business. Assures that professional practice complies with state and federal regulations including, but not limited to the HIPAA Privacy and Security regulations and NELC's Corporate Compliance Program. Ensures that confidentiality of patient information is maintained in accordance with state and HIPAA Privacy and Security regulations. Effectively communicates both verbally & in writing inside and outside the organization; selects appropriate means of communication; questions to seek clarification and understanding; maintains confidentiality; listens actively to others; conveys appropriate information to others. Takes the initiative to meet internal and external customer needs in a timely and courteous manner; maintains a high level of customer satisfaction; follows up on customer complaints/concerns. Establishes and maintains good working relationships; shows respect and concern for the feelings of others; interfaces effectively with all levels of the organization; focuses on situations rather that personalities in relating to others; works cooperatively within a group; accepts constructive feedback. Displays good judgment; takes the initiative rather than waiting to be told; make practical suggestions; learns from past experiences and uses those insights to handle new situations effectively; defines problems logically and develops appropriate solutions; uses creative approaches. Completes appropriate amount of work in a timely manner without jeopardizing quality; uses time effectively to consistently accomplish objectives and meet deadlines; organizes workload for requirements of the job; set priorities and discriminates between important and unimportant matters; anticipates needs/problems; maintains attention to detail. Required Qualifications: A minimum of 3 years' experience with third party health insurance claims office or plan administrator involved in processing health provider claims required. A working knowledge of government health insurance plan benefits and the rules & regulations for obtaining reimbursement required. Experience with healthcare patient accounting/billing/collections computer applications including electronic claims processing preferred. Working knowledge of Home Infusion Therapy billing & collection preferred. Practical experience with Medicare; Medicaid; and third-party payer contracts. Preferred Experience: Associates Degree or bachelor's degree in Business Administration preferred. Regulatory requirements: Knowledge of HIPAA Privacy and Security requirements. Working knowledge of federal / state fraud and abuse laws required. Skills: Demonstrated knowledge of medical terminology; CPT; ICD9; and HCPC coding required. Excellent customer service skills required. Excellent communications (verbal and written) skills required. Excellent organizational skills required. Ability to work independently as well as part of a team required. Practical experience with microcomputer systems and applications to include Microsoft Word and Excel required. Demonstrated ability to identify, research and solve problems required. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Monday - Friday from 8:00am until 4:30pm.
    $37k-46k yearly est. 29d ago
  • Director of Pharmacy

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    New England Life Care (NELC) is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care.
    $45k-56k yearly est. Auto-Apply 30d ago
  • Clinical Pharmacist

    New England Life Care 3.8company rating

    New England Life Care job in Canton, MA

    New England Life Care (NELC) is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, you may be the person we are looking for! New England Life Care is hiring a full-time Clinical Pharmacist for our Canton, Massachusetts Branch to join our growing team! This ideal candidate for this position will have IV experience, a positive demeanor, and pay meticulous attention to detail. Unlike retail pharmacies, you will not spend most of your time interacting with customers, will be in a comfortable environment with like-minded professionals, and will be able to sharpen your skills as a pharmacist! ***Retail Pharmacists are encouraged to apply! We will train you regardless of your background.*** Job Summary : The Clinical Pharmacist in this position is responsible for providing comprehensive clinical pharmacy services for NELC patients receiving home infusion therapy. Benefits: Career Ladders for Advancement Health Insurance Dental Insurance Vision Insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid Time Off And much more! Responsibilities: Reviews prescriptions issued by physicians / authorized prescribers to assure accuracy and determine formulas and ingredients needed for dispensing the order. Collaboratively assesses the suitability of each patient for home infusion therapy. Assists the referral source in developing and implementing a plan for each patient's smooth transition from hospital to home. Develops, implements, and monitors patient's individualized plan of care to include setting of therapeutic goals, monitoring of progress to goals and ongoing communication with prescribing physician. Acts as a clinical resource for all members of the healthcare team on the appropriate use of medications, possible drug interactions, medication side effects, dosage, and storage information. Provides written education materials and verbal consultation, as needed, to patients and / or caregivers relative to the medication prescribed for home infusion. Demonstrates competency in the preparation / compounding / dispensing of medications according to NELC policies and procedures. Monitors all physician orders for drug/drug interactions, duplication of therapy and appropriateness of drug order. Makes recommendations for change(s) to physician in a timely manner. Detects and evaluates the clinical importance of adverse drug reactions and complications associated with home infusion therapy informing the physician as required. Comprehensively documents patient's progress to goals of therapy and all communication re: patient status and changes in therapy according to JCAHO documentation standards. Effectively communicates patient requirements and changes in patient status to appropriate members of infusion and reimbursement teams as well as the HHA staff involved in meeting the patient's home health needs. Demonstrates competency in the use and management of medication administration equipment. Ensures that confidentiality of patient information is maintained in accordance with state and HIPAA Privacy and Security regulations. Educational / Professional Requirements: Bachelor of Science degree from an accredited school of pharmacy. Registered Pharmacist, in good standing, with a valid license. Skills: Excellent interpersonal skills. Excellent organizational skills. Ability to apply mathematical operations to such tasks as dosage calculation, formulation of pharmaceutical preparations and data analysis. Ability to define problems, collect / analyze data, establish facts and draw valid conclusions. Ability to communicate effectively with all customers and at all levels of the NELC organization verbally and in writing. Ability to work independently as well as a part of a team. Preferred Qualifications: Doctorate of Pharmacy degree. Knowledge of HIPAA Privacy and Security Regulations. Knowledge of JCAHO accreditation process and overall JCAHO standards. Working / practical knowledge of microcomputer systems including patient documentation systems, Microsoft Office (Word, Excel, Outlook), automated pharmacy systems, and IV Laminar flow Hood. Two (2) years' experience in the field of intravenous admixing of all types required, with an understanding of stability and compounding. "It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE Training schedule will be Monday - Friday from 8:30am - 5:00pm
    $47k-78k yearly est. Auto-Apply 60d+ ago
  • Central IV Patient Service Representative (PS

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    NELC is rapidly expanding the number of hospitals it serves and is participating with its hospital members in the implementation of several new population health and disease management programs for which care is provided in the home. NELC is seeking talented staff to keep pace with our growth. New England Life Care is hiring a Full Time Central IV Patient Service Representative (PSR) to support our growth. The ideal candidate for this position enjoys a fast-paced environment and provides excellent customer service. If you have previous customer service and call center experience, this may be the position you have been looking for! If not, don't let that discourage you! We will train you on everything you need to know in order to be successful. This position is responsible for timely and accurate patient refills, compassion and care; engaging clinical staff provide pharmacy services to NELC's patients with ongoing communication with patients, caregivers and Home Health Agency staff members. This is a 40 hour per week position and has a rotating weekend and holiday schedule. That DOES NOT mean every weekend. We understand that everyone needs time to recharge and have quality time off. As such, any weekend shifts will be paid an additional differential, and any holidays worked will be 2.5 x the normal rate of pay. This will is a remote position, but will require occasional travel to a branch location for training (usually once per year). **Only hiring remotely in the following states: Maine, Massachusetts, & New Hampshire** Benefits: Career Ladder Health Insurance Dental Insurance Vision Insurance Generous employer-matched 403(b) savings program Company paid: Life insurance, Short- and long-term disability insurance Paid Time Off And much more! Job Responsibilities Contacts NELC patients at regularly scheduled intervals to review supply needs. Documents and communicates accurately changes in demographics, insurance, physicians, and patient's orders in CPR+ internal Medical Record system and to appropriate departments. Accurately enters delivery tickets into CPR+ to ensure accurate & timely deliveries. Manages all patient delivery timelines. Communicates unexpected changes in product or supply usage to appropriate individuals (physician, home health agency, and patient or care giver). Accurately and efficiently records important service information within Patient's account in CPR+ per standard operating procedures. Makes calls to patients regarding routine equipment swaps. Accurately triages equipment issue calls to the appropriate staff member. Communicates with clinical staff regarding adverse drug reactions or supply issues & documents within CPR+ per NELC Policies and procedures. Provides assistance and follow up activities as required by clinical staff. Assures patient compliance with payer regulations (i.e. Medicare/Medicaid) regarding use of approved supplies and product formula and by appropriate documentation in CPR+. Ensures patient confidentiality at all time. Appropriately triages clinical questions and concerns to the appropriate staff member for assessment or follow up by clinician. Monitors all patients for delivery intervals and follows up with patient or HHA when no delivery has been requested within the past 45 days. Demonstrates the ability to troubleshoot problems verbalized by customers yet knows limitations and triages calls to appropriate person for assistance as required. Actively engages with internal partners to improve customer experience; contributes to a strong team approach. Other duties as assigned. Required Qualifications / Skills Previous experience in customer service and or contact center field. Excellent customer service skills. Ability to communicate effectively with patients and all levels of NELC staff. Ability to manage multiple tasks simultaneously and contribute to strengthening the team environment. Well-organized with strong attention to detail; consistently delivering quality and care. Knowledge / practical experience with microcomputer systems such as Microsoft Office (Word, Excel, Power Point, Outlook). Ability to learn internal systems to effectively perform job. Dependability in attendance and job performance. Displays empathy, care and compassion Preferred Skills: College Degree. Previous experience in healthcare field. Knowledge of medical terminology. Knowledge of HIPAA Privacy and Security regulations. Knowledge of health care. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' For more information, visit our website at ******************* EOE
    $31k-35k yearly est. Auto-Apply 60d+ ago
  • Pharmacy Technician

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    RETAIL PHARMACY TECHNICIANS ARE HIGHLY ENCOURAGED TO APPLY. WE WILL TRAIN ALL SKILL LEVELS NELC is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your past experience doesn't support every qualification in the job posting, we still encourage you to apply! You still may be the person we are looking for! We pride ourselves in training all new hires and those employees transitioning into a new career field. We have full-time Pharmacy Technician positions available. These positions would train you on the nuances of being a Pharmacy Technician within a Home Infusion Pharmacy, which is less customer service centric than traditional retail pharmacies, allows you to only work at one location, offers a more stable schedule, and has room for advancement. We train all new hires, regardless of your professional background. All applicants are encouraged to apply. ***Under the supervision and direction of a Licensed Pharmacist, the person in this position will first be trained to be responsible for the preparation of sterile infusion medications using aseptic technique and assisting the pharmacist in the operational tasks of conducting a home infusion pharmacy. Benefits: Career Ladders Health insurance Dental insurance Vision insurance Generous employer-matched 403(b)-retirement savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Duties will include: Assisting the pharmacist(s) in providing pharmaceutical care for patients ranging in age from newborn to elderly. Learning to identify and understand the variable dosage requirements of different age groups. You'll be encouraged to consult with the pharmacist if questions / concerns arise. Learning to maintain the proper aseptic technique within the LAFW/BSC in accordance to local, state and federal regulations. Accurately preparing intravenous solutions and admixtures in a timely manner according to NELC policies and procedures. Accurately labeling, packaging and storing products prior to shipment to patients. Maintaining pharmacy and clean room in a clean, organized and well stocked manner according to NELC policies and procedures. Assisting with daily, weekly, and monthly Quality Assurance activities including but not limited to temperature monitoring of product environment. Both positions also require the lifting of 35-pound boxes of fluid to supply the needs of the clean room compounding processes. The Pharmacy Technician is also primarily responsible for restocking inventory (in the form of 35-pound boxes) as it is delivered on pallets. Assisting in the completion of quarterly inventory counts as required. Following NELC policies and procedures in the normal conduction of company business. Other duties / projects as assigned by direct supervisor. Requirements: High School Diploma or equivalent Certification/Licensure as Pharmacy Technician as required by state specific Board of Pharmacy regulations WITHIN ONE YEAR OF HIRE DATE Ability to perform accurate dosage calculations when filling various prescriptions for all age populations. Ability to communicate effectively with all levels of personnel and customers Excellent organizational skills Knowledge / practical experience with microcomputer systems such as Microsoft Office (Word, Excel, Power Point, Outlook) Dependability in attendance and job performance Excellent customer service skills Preferred Experience: One (1) year (minimum) experience in IV admixtures using an IV laminar flow hood in hospital or homecare setting preferred, but not mandatory. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $21k-38k yearly est. Auto-Apply 60d+ ago
  • Senior Physical Therapist

    Cypress Health Partners 3.9company rating

    Northbridge, MA job

    Job Description Bay State Physical Therapy, a leading provider of outpatient physical therapy in the Northeast, is seeking a passionate senior physical therapist to join our team. Attractive Compensation and Benefits Package, with: Ability to increase your compensation through professional growth, coverage opportunities, providing access to patients and annual performance increases Attractive benefits package including medical, dental, vision, life, and 401K with company match Generous paid time off Career Development and Advancement, through our: Clinical and career growth through our advanced career path programs Structured onboarding including training program with guidelines, steady caseload growth and EMR training during your first 30 days Structured Career Path, with clear opportunities to increase your compensation as you progress Innovative Evidence Based Continuing Education Program Do Meaningful Work, as we strive to improve the way MSK Healthcare is delivered, by: Driving an outstanding patient experience and contributing to our 99% patient satisfaction score Supporting our commitment to building healthier communities Fostering a welcoming, inclusive, and engaging workplace with work/life balance and flexible scheduling What You Will Bring: A passion for providing high quality care and improving the way MSK healthcare is delivered A drive to help our patients, team members, and communities achieve their full potential An inherent focus on our core values - growth, service excellence, health and wellness, teamwork, character and compassion Bay State Physical Therapy is an Equal Opportunity employer. All qualified applicants will receive consideration for employment without regard to race, sex, color, religion, national origin, ancestry, age over 40, protected veteran status, disability, sexual orientation, gender identity/expression, marital status, or other protected class.
    $74k-91k yearly est. 1d ago
  • Intake Educator

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    NELC is rapidly expanding the number of hospitals it serves and is participating with its hospital members in the implementation of several new population health and disease management programs for which care is provided in the home. NELC is seeking talented staff to keep pace with our growth. New England Life Care is hiring a Full Time Intake Educator/Trainer to support our growth. We're looking for some that has experience, enjoys a fast-paced environment, knows how to provide a top-notch customer experience, and someone that's capable of traveling to different branch locations to conduct training for our expanding workforce. If you have passion for training and want to use your experience to educate others, this may be the position you have been looking for! This position is 40 hours per week and has a rotating weekday schedule. The ideal candidate for this position must be able to train onsite in either Woburn, Massachusetts or Canton, Massachusetts. Occasional travel will also be required to Concord, New Hampshire and Scarborough, Maine. Benefits: Health Insurance Dental Insurance Vision Insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid Time Off And much more! Job Responsibilities Responsible for educating new hires on the roles and responsibilities of the Intake, Insurance Verification and Medical Records Dept. This includes but is not limited to processing new and existing referrals, time commitments, coordination with external depts., verification of insurance, document scanning and attachment to records. Educates new employees on NELC programs, member initiatives and member process flow. Ensures current knowledge of EMR and Referral Management System. Responsible for notifying the Intake Director of any educational deficiencies. Assist the manager with the on boarding of new hires. Responsible for training new employees on department policies and procedures. Responsible for developing a training schedule that includes all areas of Intake/Insurance/MRC. Responsible for Auditing of New Employee's performance as well as randomized audits on all employees within the department on a biannual basis. In conjunction with the hiring manager, develops the corrective action (PDSA) for opportunities identified through auditing. Responsible for assisting in the implementation of process improvement and following through to completion. Coordinates off-site visits with Liaison, field nurse and IRC for all Intake staff as part of Intake on boarding. Develop and maintain all training manuals for Intake and MRC. Assist in obtaining access to hospital EMR's for Intake/Insurance staff and maintain a current list of all staff members and their access. Takes the initiative to meet internal and external customer needs in a timely and courteous manner; maintains a high level of customer satisfaction; follows up on customer complaints/concern as directed by the manager. Collaborate with other Trainers/Auditors in developing skills and creative tools with other trainers within NELC. Works closely and actively participates with assigned committees and initiatives. Schedules meetings, coordinates logistics, prepares timely meeting notes and coordinates follow up. Required Qualifications / Skills Associates Degree in Business Administration or equivalent experience required; Bachelor's Degree in Business Administration preferred. Industry Certificates for job related topics, as well as continued education in training a plus. A minimum of 5 years experience in healthcare provider's business office setting, involved in the registration of patients, verification of Third-Party Insurance benefits helpful. A minimum of 3 years experience working in the role of Intake Coordinator at NELC or equivalent environment. A strong understanding of insurance plans, both government and commercial and medical terminology Working knowledge of Home Infusion Therapy preferred. Preferred Skills: Excellent communications (verbal and written) and interpersonal skills required in order to interpret and explain policies and procedures Demonstrated ability to maintain confidentiality of patient information required. Excellent organizational skills with attention to detail required. Ability to work independently as well as part of a team. Demonstrated ability to identify research and solve problems required. Ability to research and resolve problems independently; detail orientated. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $55k-72k yearly est. Auto-Apply 60d+ ago
  • Order Processing Technician

    New England Life Care 3.8company rating

    New England Life Care job in Woburn, MA

    Job Description At NELC we know that employees are looking for opportunities for advancement, flexible schedules, competitive wages, and a company culture that embraces you as a person, not just an employee. Come join our team regardless of your work history or level of experience! The sky is the limit with how far you can go! New England Life Care (NELC) is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, you may be the person we are looking for! New England Life Care currently has openings for Order Processing Technicians in our Woburn, Massachusetts branch. This is a full-time, 40 hour per week position, and the normal schedule is Monday - Friday from 8:30am until 5:00pm. Once fully trained, this person will be incorporated into the weekend and holiday rotations, as well as the on-call schedule. Any weekend and on-call shifts will be paid a shift differential. Benefits: Health Insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Primary Responsibilities: Collaboratively works with pharmacy and nursing to ensure timely delivery of medications and supplies to patients. Communicates expected time of satellite office deliveries to satellite office staff in a timely manner. Participates in scheduled patient rounds requesting and communicating appropriate information as needed. Keeps pharmacy / nursing / delivery staff informed of any new delivery requirements including time restrictions. Initiates purchase orders for supplies and Enteral formula, places orders and has the ability to enter electronic purchase orders in MIS. Oversees receipt of all products into the warehouse, verifying packing slips to the corresponding shipment. and reports any discrepancies to the Materials Manager. Appropriately orders and stocks all supplies necessary to package and ship patient orders, this includes all shipping of IV and enteral. Ensures rotation of enteral products upon receipt of new product. Properly packages patient medication / supply orders to ensure integrity of product during shipment, to include proper labeling of bags and boxes to be delivered by NELC drivers. Picks / packs enteral orders, putting them aside in warehouse to be double checked and loaded into vans or shipped via alternate means. Assists drivers in the coordination of delivery routes and reviews compound/delivery schedule against completed orders on a daily basis to ensure no schedule deliveries are missed. Communicates any delivery time commitments to drivers. Accurately packages, labels, ships and tracks patient orders using U.P.S., U.S.P.S. and courier service when necessary. Demonstrates ability to track packages through the UPS interface. Educational / Professional Requirements: High School diploma or equivalent required. Previous experience in the customer service field preferred. Previous experience in healthcare field preferred. Regulatory Requirements: Valid Driver license in state of employment required. Excellent driving record required. Knowledge of HIPAA Privacy and Security regulations preferred. Skills: Excellent customer service skills required. Proficiency in the English language required. Excellent organizational skills required. Knowledge / experience with microcomputer systems such as Microsoft Office (Word, Excel, Outlook) required. Dependability in attendance and job performance required. EOE Monday - Friday from 8:30am until 5:00pm. Once fully trained, this person will be incorporated into the weekend and holiday rotations, as well as the on-call schedule. Any weekend and on-call shifts will be paid a shift differential.
    $36k-54k yearly est. 22d ago
  • Pharmacy Technician

    New England Life Care 3.8company rating

    New England Life Care job in Canton, MA

    NELC is one of the fastest growing home infusion therapy services companies in New England and is the region's only non-profit home infusion provider. NELC is a hospital collaborative serving more than 70 hospital systems in Maine, New Hampshire, and Massachusetts. NELC was created by local hospitals to ensure their patients have access to a provider that reflects their commitment to excellence in patient care, quality, and service. Like our owner hospitals, NELC provides patient focused care. New England Life Care has and continues to build a diverse, inclusive, and authentic workplace, so if you're energized by this opportunity, but your past experience doesn't support every qualification in the job posting, we still encourage you to apply! You still may be the person we are looking for! We pride ourselves in training all new hires and those employees transitioning into a new career field. We have an opening for a Pharmacy Technician within our Canton Pharmacy location. This position will train you on the nuances of being a Pharmacy Technician within a Home Infusion Pharmacy, which is less customer service centric than traditional retail pharmacies. We train all new hires, regardless of your background. All applicants are encouraged to apply. ***Under the supervision and direction of a Licensed Pharmacist, the person in this position will first be trained to be responsible for the preparation of sterile infusion medications using aseptic technique and assisting the pharmacist in the operational tasks of conducting a home infusion pharmacy. Upon completion, they will be trained to receive and manage inventory. Benefits: Career Ladders Weekend Pay Differential Health insurance Dental insurance Vision insurance Generous employer-matched 403b savings program Company paid: Life insurance, Short- and long-term disability insurance Paid time off And much more! Initial training will include: Assisting the pharmacist(s) in providing pharmaceutical care for patients ranging in age from newborn to elderly. Learning to identify and understand the variable dosage requirements of different age groups. You'll be encouraged to consult with the pharmacist if questions / concerns arise. Learning to maintain the proper aseptic technique within the LAFW/BSC in accordance to local, state and federal regulations. Accurately preparing intravenous solutions and admixtures in a timely manner according to NELC policies and procedures. Accurately labeling, packaging and storing products prior to shipment to patients. Maintaining pharmacy and clean room in a clean, organized and well stocked manner according to NELC policies and procedures. Assisting with daily, weekly, and monthly Quality Assurance activities including but not limited to temperature monitoring of product environment. Both positions also require the lifting of 35-pound boxes of fluid to supply the needs of the clean room compounding processes. The Pharmacy Technician is also primarily responsible for restocking inventory (in the form of 35-pound boxes) as it is delivered on pallets. Assisting in the completion of quarterly inventory counts as required. Following NELC policies and procedures in the normal conduction of company business. Other duties / projects as assigned by direct supervisor. Requirements: High School Diploma or equivalent Certification/Licensure as Pharmacy Technician as required by state specific Board of Pharmacy regulations WITHIN ONE YEAR OF HIRE DATE Ability to perform accurate dosage calculations when filling various prescriptions for all age populations. Ability to communicate effectively with all levels of personnel and customers Excellent organizational skills Knowledge / practical experience with microcomputer systems such as Microsoft Office (Word, Excel, Power Point, Outlook) Dependability in attendance and job performance Excellent customer service skills Preferred Experience: One (1) year (minimum) experience in IV admixtures using an IV laminar flow hood in hospital or homecare setting preferred, but not mandatory. ''It is unlawful in Massachusetts to require or administer a lie detector test as a condition of employment or continued employment. An employer who violates this law shall be subject to criminal penalties and civil liability.'' EOE
    $21k-38k yearly est. Auto-Apply 60d+ ago

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New England Life Care may also be known as or be related to New England Life Care, New England Life Care Inc and New England Life Care, Inc.